Courtney Icenhower, is a
Case Manager/care Coordinator based in Benton, Arkansas. Courtney Icenhower is licensed to practice in * (Not Available) (license number ) and her current practice location is
110 Pearson, Benton, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 315-4224.
NPI number for Courtney Icenhower is 1750916219 and her current mailing address is 110 Pearson, Benton, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750916219.
Healthcare Provider's Profile
| Full Name | Courtney Icenhower |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 110 Pearson, Benton, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750916219
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Courtney Icenhower such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750916219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Icenhower is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Courtney Icenhower,
110 Pearson,
Benton, AR 72015-4436
Ph: (501) 315-4224 | Courtney Icenhower,
110 Pearson,
Benton, AR 72015-4436
Ph: (501) 315-4224 |
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